CPT 63030 Surgery

Lumbar discectomy, single interspace Cost

Body System: Musculoskeletal

Medicare Facility Rate
$737
CMS PFS CY2026
Hospital Outpatient
$7
OPPS rate
Surgery Center (ASC)
$3
ASC rate

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

13.18
Work RVU
7.25
Facility PE RVU
2.36
Malpractice RVU

Cost by Location

Location Medicare Rate Est. Commercial
AK — ALASKA $1,066 $1,386 — $2,132
AK — ALASKA* $962 $1,442 — $2,404
AL — ALABAMA $799 $1,039 — $1,598
AR — ARKANSAS $786 $1,022 — $1,573
AZ — ARIZONA $872 $1,134 — $1,745
AZ — Phoenix $753 $1,130 — $1,883
CA — BAKERSFIELD $896 $1,165 — $1,793
CA — CHICO $886 $1,152 — $1,772
CA — EL CENTRO $887 $1,153 — $1,773
CA — FRESNO $886 $1,152 — $1,772
CA — HANFORD-CORCORAN $886 $1,152 — $1,772
CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) $945 $1,229 — $1,890
CA — Los Angeles $813 $1,219 — $2,032
CA — MADERA $886 $1,152 — $1,772
CA — MERCED $886 $1,152 — $1,772
CA — MODESTO $886 $1,152 — $1,772
CA — NAPA $985 $1,281 — $1,970
CA — OXNARD-THOUSAND OAKS-VENTURA $934 $1,215 — $1,869
CA — REDDING $886 $1,152 — $1,772
CA — REST OF CALIFORNIA $886 $1,152 — $1,772

Frequently Asked Questions

How much does Lumbar discectomy, single interspace cost?

The Medicare facility rate is $737. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $7. Ambulatory surgery center rate: $3.

How much does Lumbar discectomy, single interspace cost without insurance?

Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $737.